By Michael S. Clement
Blueprints Q&A for Step three is definitely the right research reduction for USMLE Step three. The e-book comprises 1,000 board-formatted questions—200 for every center clerkship subject—that were reviewed by means of scholars who lately handed the forums. complete solutions with factors for proper and unsuitable solution offerings are supplied for every query. An appendix of ordinary lab values and a listing of abbreviations also are integrated. A spouse site on thePoint will provide the questions electronically to simulate the particular Step three examination.
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Her weakness is not apparent initially, but her muscles fatigue easily. She has no shoulder or thigh tenderness. Her sensation, reflexes, and cerebellar examination results are normal, as are the rest of her physical examination results. 35. Which of the following tests are the most sensitive and specific for making the diagnosis in this patient? A. B. C. D. E. qxd 8/23/07 10:18 AM Page 10 10 • Blueprints Q&As for Step 3 36. After confirming your diagnosis, what is the most important next test to evaluate for conditions known to be associated that may affect the patient’s treatment?
PPIs have been shown to have the best efficacy and provide the most rapid and complete symptom relief in GERD. A. Weight loss is often recommended, although there are no evidence-based studies showing its efficacy in improving the symptoms of GERD. B. Fundoplication is usually performed after a 24-hour pH probe proving GERD in patients who fail medical management. C. H2 blockers are often used first line secondary to their easy accessibility, but they often do not offer as complete relief as a PPI.
There is no association, however, with mesothelioma and spontaneous pneumothorax. E. Premenopausal women, not postmenopausal, may have a secondary spontaneous pneumothorax during their menses. This is called catamenial pneumothorax and is due to ectopic endometrium in the lung tissue that bleeds at the time of menstruation because of the usual hormonal influence. Other presentations of thoracic endometriosis include hemoptysis and pulmonary nodule. 6. C. Berylliosis is remarkably similar in presentation to sarcoidosis.
Blueprints Q&A for Step 3 by Michael S. Clement